200 research outputs found
2015 Electioneering Process and the Widening of Votersâ Political Consciousness
Electioneering process represents a formal procedure whereby a person is elected into a political office. Previous elections, in the political history of Nigeria, have recorded a high level of political apathy. Lack of interest, with reference to votersâ participation, has been a common political culture of the country. The massive rigging, recorded in previous elections, has led to the characterization of electioneering process by many Nigerians as âselectionâ instead of âelection.â This ugly phenomenon has informed the growing votersâ political apathy recorded in the previous elections. This paper, therefore, raises some fundamental questions such as: when will an average Nigerian voter engage actively and consciously in the electioneering process and in the question of who becomes the leader in the country? How will the political confidence of an average Nigerian voter be restored? These passionate and mind-bugling questions have, however, been put to rest, following the just concluded 2015 electioneering process. Unlike the previous elections, which were marred generally by high level of votersâ apathy, the just concluded election marks a sharp deviation from the past, by ushering in an era of active political participants and a high level of political consciousness on the side of the electorate. Based on this, this paper, by means of historical hermeneutics/interpretation and philosophical analysis, argues that the just concluded 2015 electioneering process is a political eye-opener, in that it marked the beginning of a new era of active votersâ participation and in widening their political consciousness. Keywords: electioneering process, political apathy, political culture, political consciousness, political re-engineerin
Jurassic shift from abiotic to biotic control on marine ecological success
Environmental change and biotic interactions both govern the evolution of the biosphere, but the relative importance of these drivers over geological time remains largely unknown. Previous work suggests that, unlike environmental parameters, diversity dynamics differ profoundly between the Palaeozoic and post-Palaeozoic eras. Here we use the fossil record to test the hypothesis that the influence of ocean chemistry and climate on the ecological success of marine calcifiers decreased throughout the Phanerozoic eon. Marine calcifiers build skeletons of calcite or aragonite, and the precipitation of these calcium carbonate polymorphs is governed by the magnesium-to-calcium ratio and temperature in abiotic systems. We developed an environmental forcing model based on secular changes of ocean chemistry and temperature and assessed how well the model predicts the proliferation of skeletal taxa with respect to calcium carbonate polymorphs. Abiotic forcing governs the ecological success of aragonitic calcifiers from the Ordovician to the Middle Jurassic, but not thereafter. This regime shift coincides with the proliferation of calcareous plankton in the mid-Mesozoic. The deposition of biomineralizing plankton on the ocean floor buffers CO2 excursions and stabilizes Earthâs biochemical cycle, and thus mitigates the evolutionary impact of environmental change on the marine biota
Population policy in Bangladesh: A review of ten priority areas
One of the most important factors contributing to the success of Bangladeshâs FP-MCH Program in recent years has been the strong support provided at the policy level by all the governments of Bangladesh since independence. This has given the government confidence and supported the development of a coherent set of policies at the implementation level. However, the success of policies at one stage in the development of a family planning (FP) program carries with it the need for changes in policy to support the program at the next stage. In Bangladesh, if the nation is to attain the demographic goals important to survival, it must adapt its policies to attract larger numbers of users through better service structures, stronger teamwork, and cooperation both within government and between the government and NGOs, and ultimately through higher quality service for clients. The Population Council and URC (Bangladesh) have been collaborating since 1992, and the present report in draft form was instrumental in determining the long-term policy issues now being addressed by the National Steering Committee for Future Challenges in the FP-MCH Program
Looking both ways
On the occasion of the 25th anniversary of the journal, Psychotherapy Research, three former editors first look back at: (i) the controversial persistence of the Dodo verdict (i.e., the observation that all bona fide therapies seem equally effective); (ii) the connection between process and outcome; (iii) the move toward methodological pluralism; and (iv) the politicization of the field around evidence-based practice and treatment guidelines. We then look forward to the next 25 years, suggesting that it would be promising to focus on three areas: (i) systematic theory-building research; (ii) renewed attention to fine-grained study of therapist techniques; and (iii) politically expedient research on the outcomes of marginalized or emerging therapies
Tectonic structure, evolution, and the nature of oceanic core complexes and their detachment fault zones (13°20â˛N and 13°30â˛N, Mid Atlantic Ridge)
Microbathymetry data, in situ observations, and sampling along the 138200N and 138200N oceanic
core complexes (OCCs) reveal mechanisms of detachment fault denudation at the seafloor, links between tectonic
extension and mass wasting, and expose the nature of corrugations, ubiquitous at OCCs. In the initial
stages of detachment faulting and high-angle fault, scarps show extensive mass wasting that reduces their
slope. Flexural rotation further lowers scarp slope, hinders mass wasting, resulting in morphologically complex
chaotic terrain between the breakaway and the denuded corrugated surface. Extension and drag along the fault
plane uplifts a wedge of hangingwall material (apron). The detachment surface emerges along a continuous
moat that sheds rocks and covers it with unconsolidated rubble, while local slumping emplaces rubble ridges
overlying corrugations. The detachment fault zone is a set of anostomosed slip planes, elongated in the alongextension
direction. Slip planes bind fault rock bodies defining the corrugations observed in microbathymetry
and sonar. Fault planes with extension-parallel stria are exposed along corrugation flanks, where the rubble cover
is shed. Detachment fault rocks are primarily basalt fault breccia at 138200N OCC, and gabbro and peridotite
at 138300N, demonstrating that brittle strain localization in shallow lithosphere form corrugations, regardless of
lithologies in the detachment zone. Finally, faulting and volcanism dismember the 138300N OCC, with widespread
present and past hydrothermal activity (Semenov fields), while the Irinovskoe hydrothermal field at the
138200N core complex suggests a magmatic source within the footwall. These results confirm the ubiquitous
relationship between hydrothermal activity and oceanic detachment formation and evolution
Practice-Driven Evaluation of a Multi-layered Psychosocial Care Package for Children in Areas of Armed Conflict
Psychosocial and mental health service delivery frameworks for children in low-income countries are scarce. This paper presents a practice-driven evaluation of a multi-layered community-based care package in Burundi, Indonesia, Sri Lanka and Sudan, through a set of indicators; (a) perceived treatment gains; (b) treatment satisfaction; (c) therapist burden; (d) access to care; (e) care package costs. Across four settings (n = 29,292 children), beneficiaries reported high levels of client satisfaction and moderate post-treatment problem reductions. Service providers reported significant levels of distress related to service delivery. Cost analyses demonstrated mean cost per service user to vary from 3.46 to 17.32 ⏠depending on country and specification of costs. The results suggest a multi-layered psychosocial care package appears feasible and satisfactory in reaching out to substantial populations of distressed children through different levels of care. Future replication should address therapist burden, cost reductions to increase sustainability and increase evidence for treatment efficacy
Learning and Memory Alterations Are Associated with Hippocampal N-acetylaspartate in a Rat Model of Depression as Measured by 1H-MRS
It is generally accepted that cognitive processes, such as learning and memory, are affected in depression. The present study used a rat model of depression, chronic unpredictable mild stress (CUMS), to determine whether hippocampal volume and neurochemical changes were involved in learning and memory alterations. A further aim was to determine whether these effects could be ameliorated by escitalopram treatment, as assessed with the non-invasive techniques of structural magnetic resonance imaging (MRI) and magnetic resonance spectroscopy (MRS). Our results demonstrated that CUMS had a dramatic influence on spatial cognitive performance in the Morris water maze task, and CUMS reduced the concentration of neuronal marker N-acetylaspartate (NAA) in the hippocampus. These effects could be significantly reversed by repeated administration of escitalopram. However, neither chronic stress nor escitalopram treatment influenced hippocampal volume. Of note, the learning and memory alterations of the rats were associated with right hippocampal NAA concentration. Our results indicate that in depression, NAA may be a more sensitive measure of cognitive function than hippocampal volume
Working Inside for Smoking Elimination (Project W.I.S.E.) study design and rationale to prevent return to smoking after release from a smoke free prison
<p>Abstract</p> <p>Background</p> <p>Incarcerated individuals suffer disproportionately from the health effects of tobacco smoking due to the high smoking prevalence in this population. In addition there is an over-representation of ethnic and racial minorities, impoverished individuals, and those with mental health and drug addictions in prisons. Increasingly, prisons across the U.S. are becoming smoke free. However, relapse to smoking is common upon release from prison, approaching 90% within a few weeks. No evidence based treatments currently exist to assist individuals to remain abstinent after a period of prolonged, forced abstinence.</p> <p>Methods/Design</p> <p>This paper describes the design and rationale of a randomized clinical trial to enhance smoking abstinence rates among individuals following release from a tobacco free prison. The intervention is six weekly sessions of motivational interviewing and cognitive behavioral therapy initiated approximately six weeks prior to release from prison. The control group views six time matched videos weekly starting about six weeks prior to release. Assessments take place in-person 3 weeks after release and then for non-smokers every 3 months up to 12 months. Smoking status is confirmed by urine cotinine.</p> <p>Discussion</p> <p>Effective interventions are greatly needed to assist these individuals to remain smoke free and reduce health disparities among this socially and economically challenged group.</p> <p>Trial Registration</p> <p><a href="http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=01122589">NCT01122589</a></p
Delivering stepped care: an analysis of implementation in routine practice
addresses: Mood Disorders Centre, University of Exeter, Exeter, EX4 4QG, UK. [email protected]: PMCID: PMC3283464types: Journal Article; Multicenter Study; Research Support, Non-U.S. Gov'tŠ 2012 Richards et al; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.In the United Kingdom, clinical guidelines recommend that services for depression and anxiety should be structured around a stepped care model, where patients receive treatment at different 'steps,' with the intensity of treatment (i.e., the amount and type) increasing at each step if they fail to benefit at previous steps. There are very limited data available on the implementation of this model, particularly on the intensity of psychological treatment at each step. Our objective was to describe patient pathways through stepped care services and the impact of this on patient flow and management
Distress and quality of life after autologous stem cell transplantation: a randomized clinical trial to evaluate the outcome of a web-based stepped care intervention
Background Psychological distress (i.e. depression and anxiety) is a strong predictor of functional status and other aspects of quality of life in autologous stem cell transplantation following high-dose chemotherapy. Treatment of psychological distress is hypothesized to result in improvement of functional status and other aspects of quality of life. The aim is to evaluate the outcome of stepped care for psychological distress on functional status and other aspects of quality of life in patients with hematological malignancy treated with autologous stem cell transplantation. Methods/Design The study is designed as a randomized clinical trial with 2 treatment arms: a stepped care intervention program versus care as usual. Patients are randomized immediately pre transplant. Stepped care and care as usual are initiated after a 6 weeks buffer period. Outcome is evaluated at 13, 30, and 42 weeks post transplant. In the experimental group, the first step includes an Internet-based self-help program. If psychological distress persists after the self-help intervention, the second step of the program is executed, i.e. a diagnostic evaluation and a standardized interview, yielding a problem analysis. Based on this information, a contract is made with the patient and treatment is provided consisting of individual face-to-face counseling, medication, or referral to other services. Care as usual comprises an interview with the patient, on ad hoc basis; emotional support and advice, on ad hoc basis; if urgent problems emerge, the patient is referred to other services. Primary outcome variables are psychological distress and functional status. Data are analyzed according to the intention to treat-principle. Discussion This study has several innovative characteristics. First, the outcome of the intervention for psychological distress in patients with hematological malignancy treated with autologous stem cell transplantation is evaluated in a randomized controlled study. Second, the impact of the intervention on functional status is evaluated: it is hypothesized that reduction of psychological distress results in improved functional status. Furthermore, the intervention concerns an Internet-based treatment in the first step. Finally, the intervention is characterized by an emphasis on self-management, efficiency, and a multi-disciplinary approach with nurses taking up a central role
- âŚ